Counseling is helping process by which, we first understand the problem, and then help the people to understand their problem, and then we need to work together with them to find solution that is appropriate to their situation.
1. Top Caregiver Duties to Know.
2. Caregiving Tips and Tricks to Ease Caregiving Problems.
3. Assisted Living & In-Home Care Compared.
4. Understanding the role of caregivers.
5. Hiring a Private Caregiver.
6. Mistakes to avoid when hiring a caregiver.
Counselling of people living with HIV/AIDSSANJAY SIR
IT HELPS THE PARAMEDICS & NURSING PERSONNEL REGARDING COUNSELING SESSION OF PEOPLE LIVING WITH HIV/AIDS & ALSO HELPS THE EDUCATOR TO TEACH THEIR STUDENTS REGARDING COUNSELING . IT ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT IT.
Counseling is helping process by which, we first understand the problem, and then help the people to understand their problem, and then we need to work together with them to find solution that is appropriate to their situation.
1. Top Caregiver Duties to Know.
2. Caregiving Tips and Tricks to Ease Caregiving Problems.
3. Assisted Living & In-Home Care Compared.
4. Understanding the role of caregivers.
5. Hiring a Private Caregiver.
6. Mistakes to avoid when hiring a caregiver.
Counselling of people living with HIV/AIDSSANJAY SIR
IT HELPS THE PARAMEDICS & NURSING PERSONNEL REGARDING COUNSELING SESSION OF PEOPLE LIVING WITH HIV/AIDS & ALSO HELPS THE EDUCATOR TO TEACH THEIR STUDENTS REGARDING COUNSELING . IT ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT IT.
With budget cuts and efficiency drives, hospitals are under pressure to save money in emergency services. This patient led investigation generated user insights and practical ideas that could make a difference
Keys: To Avoid MEDICO-LEGAL LITIGATION : by Communicating Effectively Wi...Lifecare Centre
The main key to good DOCTOR--PATIENT RAPPORT is good communication
If the doctor effectively uses empathy, they can gain trust in confidence of the patient, which create of bond of friendship.
These patient develop full faith in the ability, & the sincerity of the doctor.
Then only they tend to accept the unfavorable outcome without any ill feelings and develop no malice towards the Doctor.
The doctor -patient relationship is complex one. A lot of factors come into play. These are to do with doctor's own personality, family background, workload, work environment etc. Also matter the patient's background, education, etc
Mostly it is to do with workload and to some extent the patient's repeated silly questions which needs common sense and not medical knowledge to answer. When confronted with such situations just nod your head rather then give a rude reply. In my opinion rudeness should be avoided at all cost.
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
The 10 Best Rehabilitation Centers to Watch in 2019insightscare
In this regard, we have come up with the issue ‘The 10 Best Rehabilitation Centers to Watch in 2019’ Project which features the leading rehab centers that deliver astounding services to its client.
Mental health refers to the maintenance of successful mental activity.
This includes maintaining productive daily activities and maintaining fulfilling relationships with others.
It also includes maintaining the abilities to adapt to change and to
cope with stresses.
With budget cuts and efficiency drives, hospitals are under pressure to save money in emergency services. This patient led investigation generated user insights and practical ideas that could make a difference
Keys: To Avoid MEDICO-LEGAL LITIGATION : by Communicating Effectively Wi...Lifecare Centre
The main key to good DOCTOR--PATIENT RAPPORT is good communication
If the doctor effectively uses empathy, they can gain trust in confidence of the patient, which create of bond of friendship.
These patient develop full faith in the ability, & the sincerity of the doctor.
Then only they tend to accept the unfavorable outcome without any ill feelings and develop no malice towards the Doctor.
The doctor -patient relationship is complex one. A lot of factors come into play. These are to do with doctor's own personality, family background, workload, work environment etc. Also matter the patient's background, education, etc
Mostly it is to do with workload and to some extent the patient's repeated silly questions which needs common sense and not medical knowledge to answer. When confronted with such situations just nod your head rather then give a rude reply. In my opinion rudeness should be avoided at all cost.
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
The 10 Best Rehabilitation Centers to Watch in 2019insightscare
In this regard, we have come up with the issue ‘The 10 Best Rehabilitation Centers to Watch in 2019’ Project which features the leading rehab centers that deliver astounding services to its client.
Mental health refers to the maintenance of successful mental activity.
This includes maintaining productive daily activities and maintaining fulfilling relationships with others.
It also includes maintaining the abilities to adapt to change and to
cope with stresses.
JTC - What Is Psychotherapy? by Anne BurkeAnne Burke
Johnstown Therapy Centre - What Is Psychotherapy?
An introduction to Psychotherapy & Counselling at the Johnstown Therapy Centre in Dun Laoghaire, Co. Dublin.
Presentation by Hunter institute of Mental Health Director Jaelea Skehan for Being Well forum held Tuesday 9th August at Belmont 16 Foot Sailing Club www.himh.org.au
Drug Counseling Help for Addicts | Rehab Centers and Programs in South CarolinaRecovery Concepts
Drug Counseling Program- Effective Ways to Treat Addiction. Drug addiction counseling; opiate addiction counseling; counselors for opiate addiction, no matter what you are looking for with reference to getting some help to eventually give up on your drug addiction; we, at Recovery Concepts in the Greenville area have licensed professional counselors for opiate addiction treatment.
Recovery Concepts of the Carolina Upstate, LLC
Address: 1653 E Main Street, Easley, SC 29640
Phone:(864)306-8533
Fax: (864)306-8513
Director Email: director@recoveryconcepts.us
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
The program outlines the fundamental differences between clinical issues, legal questions, risk management strategies, and ethical issues. While overlap exists, ethical questions arise when there are two competing ethical principles at odds. The course will reference both the ACA and the NBCC Code of Ethics. Clinical issues deal with treatment-oriented concerns. Legal issues concern state, federal, and case law, as well as statutes and regulations. Risk management typically focuses on reducing liability. Several case examples will be given to demonstrate how these issues overlap and are important to high quality of care.
Presentation by Hunter Institute of Mental Health Projects Coordinator Ellen Newman for Thrive 2016, weaving wellness and wellbeing conference. This presentation is about mental health literacy and strategies for supporting children’s mental health and wellbeing.
Healthy communication can be a lofty goal at the best of times- and even more so while living with cancer and its stresses. This workshop aims to provide you with practical tools to help build skills in healthy communication and mindful listening. These tools can help decrease stress and increase connection with oneself and others.
The Canadian Cancer Survivor Network is pleased to have Registered Clinical Counsellor Genevieve Stonebridge from InspireHealth Supportive Cancer Care present this webinar. InspireHealth is a Canadian leader in supportive cancer care with medical doctors, clinical counsellors, dietitians, exercise therapists all working together to support you and your family in your cancer experience.
About the presenter:
Genevieve Stonebridge has been working in cancer care since 2010, and with InspireHealth as a clinical counsellor since 2015. She is passionate about supporting
people living with, through or beyond a cancer diagnosis. With compassion, creativity and openness she believes in meeting patients where they are at. From her personal and professional experience, Genevieve knows how important communication skills are while navigating the health care system and in interpersonal relationships too.
First introduced to Inspire Health in 2001, when she herself was diagnosed with cancer as a young adult, Genevieve was strongly influenced by InspireHealth’s patient-centered approach – especially the benefits of personal reflection and self-care gained through counselling, meditation, movement and fun. Now cancer-free for over 15 years, Genevieve is devoted to creating safe and inspiring places for people to explore their cancer experience. This includes holding space for both the suffering and joys of life.
Genevieve lives in Victoria, BC, with her husband and grey tabby cat Gus. She is a qualified Mindfulness Based Stress Reduction (MBSR) teacher in training, and weaves mindfulness into everything she does.
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
The focus of this module is to explore patient/family centered care and how it links to incident analysis and management to will help to make care safer. Guest speakers and patient representatives will highlight what the patient needs are at different points during the incident analysis and management process. During small group discussions, participants will tap in to their own experiences and apply the “Checklist for Effective Meetings with Patients/ Families”.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Global Ibogaine Therapist Alliance 2012 - Tanea Paterson
1.
2. Ibogaine Aotearoa/NZ
A Path to Integration with
Considerations on Assessment & Risk
By Tanea Paterson
Director/Provider Ibogaine Aotearoa Charitable Trust I.ACT
Applied Addictions Practitioner DAPAANZ Registered
3. "E nga mana, e nga reo, e nga waka, e tau
nei.”
To all the chiefs, all the dialects, all the
waka that have gathered here.
4. Ko Tinana toku waka
Ko Hereweka toku mauka
Ko Mata-Au toku awa
Ko Tanea Paterson toku ikoa
No Otepoti ahau
No reira
Tena koutou, tena koutou, tena koutou katoa
5. Tanea Paterson
• Born in
Otepoti/Dunedin
• Spanish, Scottish
and English
• Two Sons, Josef 13
and Salem 8
• Solo Mum/Student
for 13 years
• Methadone
program for 7
years, 6 years free
• Qualified Addiction
Practitioner
6. • 2008-09 Certificate in Health at Otago Polytechnic
• 2009 Ibogaine Fora North & South Island
• 2011 Set up Ibogaine Aotearoa Charitable Trust or
I.ACT
• 2011 Attended Cutting Edge National Addiction
Conference & won award for my poster
• 2011 Voluntary intern at Salvation Army ‘drop in
centre’
• 2011 Registered as an Addiction Practitioner with
DAPAANZ
• 2012 Completed Te Taketake Applied Addictions
Practitioner Paper through Moana House
• Current - Work at DIVO Dunedin IV Organisation
• Comprehensive 1st aid and level 4 Resus Certification
8. Addiction Training and the
Importance of Personal Growth
• Transference and Countertransference
• Self Disclosure “who is benefitting from it?”
• Supervision (not limited by geography)
• Naïve Benevolence – doing goodwill without
considering potential risks. When it is ok to
say no or not yet
• ‘Rescuing’ without proper assessment.
(Karpman Drama Triangle, 1968)
11. Rescuers get caught up in enabling.
Doing too much for someone else is
rationalized because "I care so much."
Rescuers are often unaware that pity and
disrespect are the fuel for this role. "I
know what's best for you.” (thus moving
into the persecutor role)
Backing up from the rescuer role means
learning that indifference can be a useful
tool.
Wait and see if the person you’re trying to
rescue steps forward for themselves,
increasing self efficacy on the way.
12. So next time you feel that brief flash of irritation
at the start of a conversation or are left with a
negative feeling after a conversation just stop
and ask yourself “Was I just sucked into a
Drama Triangle?” and then consider the
question ”And to what extend was I
unconsciously colluding?”. The tactic to avoid
the Drama Triangle is to learn to recognise the
emotional “hook” that signals the invitation to
play the Game; and to consciously deflect
it before it embeds into your unconscious
mind and triggers an unconscious, habitual,
reflex reaction. Anyone able to “press your
button” is hooking you into a game.
13. Priorities for Providers to Reduce Risk
to Self and Others
• Education, research and self growth
‘having a baby does not make you a
midwife’
• Bwiti Tikanga, respect and
knowledge of West Africa and
source of the medicine we use
• Negative thinking towards ‘the
system’ slows progression
15. Ibogaine Therapy Integration NZ
• The Feb 2010 scheduling of ibogaine as a
non-approved prescription medication allows
integration into health services
• Prior to this ibogaine was ‘underground’
therefore often dismissed by healthcare
providers
• Exposing clients to risk -uninformed primary
health workers = unsupported clients
• Ibogaine is ONE part of a therapeutic plan
16. Developing and Maintaining Trust
with Existing Health Services
Consistency of
• Provision
• Protocol
• Professionalism
Transparency of practice
17. Code of Ethics DAPAANZ Example
Drug and Alcohol Practitioners
Association of Aotearoa/NZ
THE DAPAANZ CODE – THE MAIN ETHICAL
PRINCIPLES
In the DAPAANZ Code there are 10 main
principles and/or core values.
18. Structural and Core Elements
DAPAANZ
1. Self responsibility and practitioner
status
2. Responding to clients and community
3. Professional practice within agencies
and organisations
19. Assessment – Why Do It
• Who is this person?
• How can we best serve their needs?
• How is their mind, body, spirit and
social network.
• Minimum of 6
assessment/counselling/preparation
sessions pre ibo
20. The Importance of Assessment
• Builds therapeutic alliance
• A holistic picture of the client enables a more
individualized therapy plan
• Identifies strengths and build on these for
increased sense of self worth & efficacy
• Identifies history and extent of drug use and
this also allows for opportunities to increase
the clients’ awareness around substances
• Can be therapeutic in itself, allows for
reflection and communication with whanau
21. Western Model vs Eastern
Orthodox/Maori Model
Western - Humanity in
control
• Relationship to the issue
• Scientific explanation
• Evidence based
intervention
Scientia - Takes a Snapshot,
Seeks Answers
Eastern - Humanity &
our relationship with
the universe
• Relationship to each other
• Spiritual explanation
• Nature of breach
(imbalance)Realignment
Spirituality - Moving Model,
Seeks questions
22. Te Whare Tapa Wha (Durie, 1982)
• A model of Maori health
• Allowed Maori to reclaim a sense of
ownership over health
• Shifted away from a focus on disease and
medical expertise
• Recognised health as a balance between
wairua, hinengaro, tinana, whanau, the four
walls of a house
• Used within areas of health, education and
social services in Aotearoa/NZ
23.
24. Balancing Wellness
As in Te Whare Tapa Wha all four areas
must be considered
Ibogaine alone has the capacity to heal
physically, spiritually and psychologically
to an extent.
It doesn’t change the person’s
social/whanau interactions.
25. Taha Tinana - Body
• Medical/physical exam
• Exercise
• Illness
• Supplements
• Diet
• Physiological sensitivity to ibogaine
• Mind body link
• Overdose, using during tx or directly after
‘Break up sex’
26. Taha Hinengaro - Mind
• Psychiatric assessment/meds
• Counsellor/therapist engagement
• Fears listened to
• Hopes listened to
• Reassurance
• Cognition and thoughts
• Understanding and acceptance of process
• Motivational Interviewing & Relapse
Prevention Plan
27. Taha Whanau – Family/Social
• Genogram/genetic predisposition
• Who know’s? Who cares?
• Work/education
• Whanau inclusive practice = support,
education & therapy
• Communication
• Relationships, respect. Reduce stigma
• Aftercare & Social participation
28. Taha Wairua - Spirit
• Beliefs and how they can be supported
throughout therapy
• Values
• Rituals
• Reassurance, Dignity and Respect
• Cultural identity
• Personal contentment
• Spirituality
• Stages of Change, Prochaska & DiClemete
29.
30. Considerations on Assessment and
Alliance
• Surroundings, compliance more likely in
a clinical setting – go for a walk
• Senses, Cognition – does the person
really understand. Have they had
enough time to ask questions?
• Negotiate access to substances during tx
(inc cannabis, cigarettes, supplements)
• Paradoxical effect of medications i.e
benzodiazapine
31. Honouring Origins by Assessment
“initiatory process in addiction
therapy”
• Spending the time with people prior to
therapy not only builds trust and truth, it
also allows greater respect for
iboga/ibogaine (minimum 6 weeks)
• I see assessment and therapy planning as a
kind of initiatory process
• This time spent prior to ibogaine increases
long term efficacy thus lessens the amount
of ibogaine used – sustainability
32. Importance and Benefits of
Integrated Care
• Assessment and Therapy Planning
• Common language and synchronized therapy
plans within sector
• Insight and understanding into existing
services for individual needs when planning
• Legitimacy and availability of ibogaine
therapy grows with awareness and
commonality of care
• Best Practice
33. Why Follow Best Practice?
Cui Bono?
To whose benefit?
Who profits by it?
34. ~50yrs on - Many ‘mistakes’ have been
made, all with good intentions, to
honour those pioneers we should not be
making the same mistakes.
We, and future generations of
providers and healers, therefore
clients, all benefit from
Best Practice.
35. Creative Commons Potential
• Creative Commons for collective input from
providers
• “Our vision is nothing less than realizing the
full potential of the Internet — universal
access to research and education, full
participation in culture — to drive a new era
of development, growth, and productivity.”
36. He aha te mea nui o te ao?
He tangata! He tangata! He tangata!
37. Further Reading….
• DAPAANZ Code of Ethics
• Karpman Drama Triangle
• Te Whare Tapawha Maori Model, Durie
• Relapse Prevention Planning, Marlett &
Gordon
• Motivational Interviewing, Miller & Rollnick
• Stages of Change, Prochaska & DiClemente